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DR. MOE AMADPOUR M.D.

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508965476

Individual Registrant:
DR. MOE  AMADPOUR M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1159 ROADRUNNER WAY  SIMI VALLEY, CA 93065-3159 US
Tel: 805-583-2643  Fax: 805-583-0111

Contact information for business:
1159 ROADRUNNER WAY  SIMI VALLEY, CA 93065-3159 US
Tel: 805-583-2643  Fax: 805-583-0111

Registration Information:
NPI: 1508965476
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
CAG81182

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G811820CA05
INDIVIDUAL TAX ID#95-4761541CA01
MEDICAL STATE LIC#G81182CA01




HEALTH CARE JOBS CA - Page 1



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